The process of adoption of evidence-based tobacco use prevention programs in California schools.
The process of adoption of evidence-based tobacco use prevention programs in California schools.
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DOI：
10.1007/s11121-013-0457-8
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发表时间：
2015-01
影响因子：
3.5
通讯作者：
Rohrbach, Louise Ann
中科院分区：
文献类型：
--
作者：
Little, Melissa A.;Pokhrel, Pallav;Sussman, Steve;Rohrbach, Louise Ann
尽管有许多经研究证实的预防药物使用计划可用于大规模传播，但对影响学校采用循证预防计划的因素知之甚少。我们测试了一个以创新扩散和社会生态理论为指导的学校项目采用机制模型。横断面数据是从整个加州的学区和县教育办公室烟草使用预防教育协调员的样本中收集的。结构方程模型被用来测试社区和组织变量对预防项目采用的影响，通过学校管理者的信念和组织对项目资金的接收。研究结果支持了一种假设，即收养的过程始于对项目的信念形成，通过收到资助而导致收养。此外，我们还发现了各种社区和组织层面的因素对信念、资金接收和采用的直接影响。这些结果可能会为影响学区使用基于证据的药物使用预防规划的政策提供信息，这最终将导致青少年负面健康结果的减少。具体而言，本研究确定了可以针对改进的各种因素，以提高循证方案的采用。据我们所知，这是第一个实证地阐明在学校采用基于证据的烟草预防计划的过程的研究。
Although there are a number of research-validated substance use prevention programs available for wide-scale dissemination, very little is known about the factors that influence adoption of evidence-based prevention programs in schools. We tested a model of the mechanisms of program adoption in schools that was guided by diffusion of innovations and social ecological theories. Cross-sectional data were collected from a sample of school district and county office of education tobacco use prevention education coordinators throughout California. Structural equation modeling was used to test the effects of community- and organizational variables on the adoption of prevention programs via school administrators’ beliefs and the organization’s receipt of funding for the program. Results supported the hypothesis that the process of adoption begins with forming beliefs about the program, leading to adoption through the receipt of funding. In addition, we found direct effects of various community- and organizational-level factors on beliefs, receipt of funding, and adoption. These results are likely to inform policies that affect school districts’ use of evidence-based substance use prevention programming, which should ultimately lead to reductions in negative health outcomes among adolescents. Specifically, this study identifies various factors that could be targeted for improvement to enhance evidence-based program adoption. To our knowledge, this is the first study to empirically elucidate the process of adoption of evidence-based tobacco prevention programs in schools.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.5
作者：
Gingiss, Phyllis M.;Roberts-Gray, Cynthia;Boerm, Melynda
通讯作者：
Boerm, Melynda
影响因子：
4.3
作者：
Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.5
作者：
Beets, Michael W.;Flay, Brian R.;Allred, Carol
通讯作者：
Allred, Carol
影响因子：
2.4
作者：
Hallfors, D;Godette, D
通讯作者：
Godette, D